Evidence map›Paper›PMID 41630858›Full record

ArticleNorth American Spine Society journal2026

Novel carbon fiber pedicle screw system for the treatment of lumbar degenerative disc disease: Results from a prospective, multicenter, FDA investigational device exemption study.

Scot Dean Miller, Rajiv V Taliwal, Kathleen Opsitnick, Brandy Mansfield, Thomas Cha, Mohamad Bydon, Anders Jonathan Cohen, Reuven Gepstein, Itzhak Engel, Joshef Leitner and 4 more

Abstract read
In one paragraph

Article in North American Spine Society journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Scot Dean MillerDepartment of Spine Surgery, Crystal Clinic Orthopaedic Center, 3975 Embassy Parkway, Suite 102, Akron, OH 44333, United States.
Rajiv V TaliwalDepartment of Spine Surgery, Crystal Clinic Orthopaedic Center, 3975 Embassy Parkway, Suite 102, Akron, OH 44333, United States.
Kathleen OpsitnickDepartment of Spine Surgery, Crystal Clinic Orthopaedic Center, 3975 Embassy Parkway, Suite 102, Akron, OH 44333, United States.
Brandy MansfieldDepartment of Spine Surgery, Crystal Clinic Orthopaedic Center, 3975 Embassy Parkway, Suite 102, Akron, OH 44333, United States.
Thomas ChaDepartment of Orthopaedic Surgery, Massachusetts General Hospital Spine Center, Yawkey Center for Outpatient Care, 55 Fruit St, Boston, MA 02114, United States.
Mohamad BydonDepartment of Neurologic Surgery, Mayo Clinic, 200 First St SW, Rochester, MN 55905, United States.
Anders Jonathan CohenNeurosurgery & Spine Surgery Department, The Brooklyn Hospital Center, 240 Willoughby St #4E, Brooklyn, NY 11201, United States.
Reuven GepsteinSpine Surgeries Unit, Herzeliya Medical Center, 7 Eli Landau Boulevard, Herzeliya 4685107, Israel.
Itzhak EngelSpine Surgeries Unit, Herzeliya Medical Center, 7 Eli Landau Boulevard, Herzeliya 4685107, Israel.
Joshef LeitnerThe Spine Unit, Meir Medical Center, 59 Tchernichovsky St, Kfar Saba 4428164, Israel.
Ely AshkenaziIsrael Spine Center, Assuta Medical Center, 20 HaBarzel St, Ramat HaHayal, Tel-Aviv 6971028, Israel.
Michael MillgramIsrael Spine Center, Assuta Medical Center, 20 HaBarzel St, Ramat HaHayal, Tel-Aviv 6971028, Israel.
Yoram FolmanDepartment of Orthopedic Surgery, Hillel Yaffe Medical Center, Ha-Shalom St, Hadera 3820302, Israel.
Carl LauryssenDepartment of Spine Surgery, St. David's Round Rock Medical Center, 2400 Round Rock Ave, Round Rock, TX 78681, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Standard titanium pedicle screw systems are widely used in spinal fusion but produce imaging artifacts and may have limitations in fatigue resistance. CarboClear carbon fiber-reinforced PEEK (CFR-PEEK) implants offer improved radiolucency and fatigue properties, and negligible artifacts in MRI and CT scans. The purpose of this study was to evaluate the safety and effectiveness of CarboClear CFR-PEEK pedicle screw system for patients with degenerative disc disease (DDD) undergoing 1 level lumbar spinal fusion. Methods: A prospective, multicenter, FDA-regulated Investigational Device Exemption (IDE) clinical trial, including 55 patients with DDD at 1 level (L2 to S1). Patients received the CarboClear System and a PEEK interbody fusion device. They were evaluated preoperatively and postoperatively at 6 weeks, 3, 6, 12, and 24 months, and then annually until the last patient completed 24-month follow-up. Primary outcome measures included self-reporting Visual Analog Scale (VAS) pain scores and Oswestry Disability Index (ODI), radiographic fusion rate, and safety assessments. Secondary measures included self-reporting SF-12 Health Survey (SF-12) scores and patient satisfaction (VAS), and operative parameters. Results were compared to predefined literature control group. Results: At 24 months, 90.0% of the patients had clinically meaningful pain improvement (VAS ≥ 20), and 78.0% had ODI improvement ≥15 points. Rigorously defined fusion was achieved in 85.71% of the patients at 24 months and in 94.59% at 36 months. The neurological success rate was 93.33%. No serious device-related adverse events occurred. The 24-month index-level reoperation rate was 7.14%, including 1 implant removal case (1.79%). Compared to the literature control, CarboClear device demonstrated superior imaging clarity and at least equivalent clinical outcomes. Conclusions: The CarboClear System is a safe and effective alternative to titanium pedicle screws for lumbar fusion, providing improved imaging compatibility and fatigue resistance.

Indexed as

Carbon fiber-reinforced PEEK (CFR-PEEK)Clinical studyLumbar degenerative disc disease (DDD)Pedicle screwsSpinal fusionSpondylolisthesis

Identifiers

PMID41630858
PMCPMC12861189

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.